Fiscal Year

2024

Case Number

A-23034-97288

Case Status

Certified

Received Date

2023-02-14

Decision Date

2024-03-13

Refile

N

Original File Date

2024-01-01 00:56:34

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

BANNER MEDICAL GROUP

Employer Name Slug

banner-medical-group

Employer Address 1

2901 N. CENTRAL AVE, SUITE 160

Employer Address 2

Employer City

PHOENIX

Employer City Slug

phoenix

Employer State

ARIZONA

Employer State Slug

arizona

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

85012

Employer Phone

602-747-4001

Employer Number of Employees

3200

Employer Year Commenced Business

2011

NAICS Code

622110

FW Ownership Interest

N

Employer Contact Name

Yusuf M Yaqub

Employer Contact Address 1

2901 N Central Ave

Employer Contact Address 2

Suite 160

Employer Contact City

Phoenix

Employer Contact State/Province

ARIZONA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

85004

Employer Contact Phone

602-747-7136

Employer Contact Email

yusuf.yaqub@bannerhealth.com

Agent Attorney Name

Matthew J Martinez

Agent Attorney Firm Name

Lewis Brisbois Bisgaard Smith, LLP

Agent Attorney Phone

6023851040

Agent Attorney Address 1

2929 N. Central Ave., 1700

Agent Attorney Address 2

1700

Agent Attorney City

Phoenix

Agent Attorney State/Province

ARIZONA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

85012

Agent Attorney Email

matthew.martinez@lewisbrisbois.com

PW Track Number

P10022204372211

PW SOC Code

29-1216.00

PW SOC Title

General Internal Medicine Physicians

PW Skill Level

N/A

PW Wage

208000.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2023-02-02

PW Expiration Date

2023-06-30

Wage Offer From

210000.00

Wage Offer To

300000.00

Average Salary

255000.00

Wage Unit of Pay

Year

Worksite Address 1

1400 S. Dobson Rd.

Worksite Address 2

Worksite City

Mesa

Worksite City Slug

mesa

Worksite State

ARIZONA

Worksite Postal Code

85202

Job Title

Hospitalist

Job Title Slug

hospitalist

Minimum Education

Other

Major Field of Study

Medicine

Required Training

Y

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Doctor of Medicine Degree, Doctor of Osteopathic Medicine Degree, or First Professional Degree in Medicine or foreign equivalent of any of these degrees. Must be eligible for Arizona medical license. Must have completed a threeyear Residency in Family or Internal Medicine.

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2022-11-17

SWA Job Order End Date

2022-12-20

Sunday Edition Newspaper

Y

First Newspaper Name

The Arizona Republic

First Advertisement Start Date

2022-12-04

Second Newspaper Ad Name

The Arizona Republic

Second Advertisement Type

Newspaper

Second Ad Start Date

2022-12-11

Employer Website From Date

2024-01-01 00:56:34

Employer Website To Date

2024-01-01 00:56:34

Professional Organization Ad From Date

2024-01-01 00:56:34

Professional Organization Advertisement To Date

2024-01-01 00:56:34

Job Search Website From Date

2022-11-29

Job Search Website To Date

2022-12-13

Employee Referral Program From Date

2024-01-01 00:56:34

Employee Referral Program To Date

2024-01-01 00:56:34

Local Ethnic Paper From Date

2022-12-08

Local Ethnic Paper To Date

2022-12-14

Radio/TV Ad From Date

2022-12-09

Radio/TV Ad To Date

2022-12-09

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDIA

Foreign Worker Birth Country

INDIA

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2003

Foreign Worker Institution of Education

SRI DEVARAJ URS MEDICAL COLLEGE

Foreign Worker Education Institution Address 1

45JFWQ4 TAMAKA

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

KOLAR

Foreign Worker Education Institution State/Province

KAMATAKA

Foreign Worker Education Institution Country

INDIA

Foreign Worker Education Institution Postal Code

563101

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Matthew J Martinez

Preparer Title

Attorney

Preparer Email

matthew.martinez@lewisbrisbois.com

Employer Information Declaration Name

Yusuf M Yaqub

Employer Information Declaration Title

Director HR Shared Services